From ‘A’

Form of Application Seeking Information
(See rule 3)

I.D. No.
(For official use)

The Competent Authority,*

1. Name of the Applicant
2. Address
3. Particular of information

1. Concerned department
2. Particulars of information required
1. Details of information required
2. Period for which information
3. Other details

4. I state that the information sought does not fall within the restrictions contained in the right to information Act, 2005 and to the best of my knowledge it pertains to your office.
5. A fee of Rs. ________ has been deposited in the office of the Competent Authority*  vide No. ___________ dated ________.

Place _________
Date

Signature of Applicant.
E-mail address, if any
Tel. No. (Office)
(Residence)

Note :-  (i) Reasonable assistance can be provided by the competent authority* in filling up the From A.
 (ii) Please ensure that the From A is complete in all respect and there is no ambiguity in providing the details of information required.

* Here Competent Authority stands for Central Assistant Public Information Officer and Central Public Information Officer.

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